How much rates vary
Facilitymedian $269 · 10th to 90th $126 to $708Professionalmedian $245 · 10th to 90th $135 to $355
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $4,897.79 | Facility | None | $181.97 | $275.42 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $275.42 | Professional | None | $181.97 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $91.20 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $138.04 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $27.54 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.88 Typical High $27.54 | Professional | 56 · Pre-op care only | $18.20 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $154.88 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $128.82 | $154.88 | $194.98 |
BCBS Michigan Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $478.63 | Facility | None | $269.15 | $275.42 | $478.63 |
BCBS Michigan Setting Professional Modifier None Typical Low $36.31 Median $134.90 Typical High $229.09 | Professional | None | $36.31 | $134.90 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $363.08 | Professional | None | $134.90 | $223.87 | $363.08 |
Health Alliance Plan Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $776.25 | Facility | None | $177.83 | $275.42 | $776.25 |
Health Alliance Plan Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $371.54 | Professional | None | $181.97 | $281.84 | $371.54 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $91.20 | $93.33 | $141.25 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 53 · Discontinued | $37.15 | $37.15 | $56.23 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $141.25 Typical High $213.80 | Professional | 54 · Surgery only | $138.04 | $141.25 | $213.80 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $42.66 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $42.66 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $28.18 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $28.18 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $131.83 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $128.82 | $131.83 | $199.53 |
Priority Health Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $363.08 | Professional | None | $117.49 | $204.17 | $363.08 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $398.11 | Professional | None | $199.53 | $275.42 | $398.11 |
Where Michigan sits
The same service costs 3.7 times more in Wisconsin than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Michigan· 29th of 51
$257
WI $708TX $191
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.